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HomeMy WebLinkAbout03-12-12BUREAU OF INDIVIDUAL TAXES ~{~ r~( 1C.,"` ~ ~ ~~, ~ 1' INHERITANCE TAX INHERITANCE TAX DIVISION r-'APPRAI~~E~;~" ~LLOWANCE OR DISALLOWANCE PO BOX 280601 ~ _ {`1F {)EDE1CTTl7 .~,~JAND ASSESSMENT OF TAX ON HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS CLER{{ ORPH;~,'~'S COUflT COLLEEN M MCCARTHY CEi~"B~~'. ~a,hl ~n P~ 243 STONER RD MECHANICSBURG PA 17055-9603 pennsylvania "`'~ DEPARTMENT OF REVENUE REY-1548 EX AFP (12-11> DATE 03-12-2012 ESTATE OF FARRELL CELIA B DATE OF DEATH 10-04-2011 FILE NUMBER ,~~ - ~ ( - ~ ~~1 ~~ COUNTY CUMBERLAND SSN/DC 195-16-6849 ACN 11169162 APPEAL BY DATE:05-11-2012 (See reverse side under Objections) Amount Remitted ~- -~ MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 CUT ALONG THIS LINE ~'> RETAIN LOWER PORTION FOR YOUR RECORDS 4~ REV-1548 EX AFP C12-11~-------------------------------------------------------------------- NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE: 03-12-2012 ESTATE OF: FARRELL CELIA B DATE OF DEATH:10-04-2011 COUNTY:CUMBERLAND FILE NO.: S.S/D.C. NO.: 195-16-6849 ACN: 111691b2 TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 203728-11 TYPE OF ACCOUNT: C 1SAVINGS CX) CHECKING C )TRUST C TIME CERTIFICATE DATE ESTABLISHED 09-19-2007 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: 3,381.29 X 0.500 1,690.65 - 1,690.65 .00 x .045 .00 NOTE: TO ENSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX PAYMENT TO THE REGISTER OF WILLS AT THE ABOVE ADDRESS. MAKE CHECK OR MONEY ORDER PAYABLE T0: "REGISTER OF WILLS, AGENT." PAYMENT DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID (-) AMOUNT PAID TOTAL TAX PAYMENT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 * IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ~ IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FDR INSTRUCTIONS. y~